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APPL. � <br />No, �1rr�'�S CITY OF EVERETT ORDfiRE NO. <br />APPLICATION FOH WATER SERVICE �fy� p <br />� FI%ED o DATF/l,-��J_.� �.._..19D_'1' <br />O�/ � <br />n DEP091T f_.�pO-_ _.-_-_. N �-- - _ <br />J' __- . <br />BERVICE��YwDo�c/�J��.¢0'�_. (r""' _ ���-Sl��X._--BLK._ ._. -LOT�/__.=RtTD"'��"T'-+'�/� <br />OWNER � //� 1 �% <br />. Q:�G,/.'1f!�j -{, LC:L4..�fy "X-G �. .CONTRACTOR_ .___' _ -_____" ' __ ` ___-. <br />IN9TALL�/I'ICIETEREDSERVIC!E__..... ___ ___.___ . _____--_....._.-__._-.---_ <br />1 HERF.BY APPLY FOR THE USE OF W�TER IN ACCORD�NCE WITH THE <br />ORDINANCES AND POLICIES OF 7'HE WATER DEP�flTMENT NOW E%ISTING r LyI ✓,/� �C� �/�Q J <br />OR AS SAME MAY BE NERE�fTER CHANGED. eicr+co: %/�fL.�GL�CC _ 1�J,�«Gl��: �`�dr <br />M�'I.qI�Lb j�' IN. 1 IN. �. t IN. , I PpICE AMOUNT <br />PIPE COPPER -• GALV. •- S7EEL —� <br />__.____. . ______ -___.__.__-.___I __ .�i__._.I___ <br />CORPORATION _ _______-._________. _-._ _�� _- I i __ __._ <br />CURB COCK OT <br />SERVICE BOx PLA9TIC •• C 1 <br />METER VALVE <br />METER No TYPE: � �. � <br />_ _ —_ _ i <br />METER BOX CONCRETE __ SMALL LARGE �I <br />� <br />_..._ __ ____ . <br />-. � . _.. . . _ _ . _. <br />-.-_..� .. ...I-.___ .___.. <br />---- -- ---- -� - <br />.__ ... ._ -- —��--I-----�- —�---- ----- <br />------...-------.._ . .. - -----I-�---I-- I-- ----- <br />`n ' ON I <br />DATE INSTALLED: �� ` I� y T I n pFp SUB rOTAL <br />!i <br />COO[ I L11tlOP ANOEOUIPMENIRCNT�L NOURB p�TE <br />� -- . �,�'.�i`fl�i° %�.� - - � -- <br />-i - - - - <br />-- - - ---- <br />-'- ----- ��� 7/�� - L <br />� � <br />RE'AARKS: <br />C <br />..� <br />n <br />m <br />--1 -'i <br />�-.r --� <br />VI S <br />n} <br />C O <br />mc <br />�> <br />O 3 <br />i � <br />m <br />.O z <br />C <br />r�' <br />-1 V <br />< <br />O S <br />�n r <br />-� r� <br />x <br />m v; <br />o� <br />� V <br />m <br />zc <br />-� r <br />. m <br />a <br />s• <br />S <br />� <br />l. <br />� <br />� <br />